EP0836866A3 - Stimulateur cardiaque à détection améliorée d'une fibrillation auriculaire - Google Patents

Stimulateur cardiaque à détection améliorée d'une fibrillation auriculaire Download PDF

Info

Publication number
EP0836866A3
EP0836866A3 EP97307225A EP97307225A EP0836866A3 EP 0836866 A3 EP0836866 A3 EP 0836866A3 EP 97307225 A EP97307225 A EP 97307225A EP 97307225 A EP97307225 A EP 97307225A EP 0836866 A3 EP0836866 A3 EP 0836866A3
Authority
EP
European Patent Office
Prior art keywords
atrial fibrillation
indicia
mode
atrium
generate
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP97307225A
Other languages
German (de)
English (en)
Other versions
EP0836866A2 (fr
EP0836866B1 (fr
Inventor
Saul E. Greenhut
Tibor A. Nappholz
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Pacesetter Inc
Original Assignee
Pacesetter Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Pacesetter Inc filed Critical Pacesetter Inc
Publication of EP0836866A2 publication Critical patent/EP0836866A2/fr
Publication of EP0836866A3 publication Critical patent/EP0836866A3/fr
Application granted granted Critical
Publication of EP0836866B1 publication Critical patent/EP0836866B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/3621Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3622Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes co-operating with different heart regions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Electrotherapy Devices (AREA)
EP97307225A 1996-10-15 1997-09-17 Stimulateur cardiaque à détection améliorée d'une fibrillation auriculaire Expired - Lifetime EP0836866B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US730748 1996-10-15
US08/730,748 US5720295A (en) 1996-10-15 1996-10-15 Pacemaker with improved detection of atrial fibrillation

Publications (3)

Publication Number Publication Date
EP0836866A2 EP0836866A2 (fr) 1998-04-22
EP0836866A3 true EP0836866A3 (fr) 1999-07-07
EP0836866B1 EP0836866B1 (fr) 2005-02-23

Family

ID=24936661

Family Applications (1)

Application Number Title Priority Date Filing Date
EP97307225A Expired - Lifetime EP0836866B1 (fr) 1996-10-15 1997-09-17 Stimulateur cardiaque à détection améliorée d'une fibrillation auriculaire

Country Status (3)

Country Link
US (1) US5720295A (fr)
EP (1) EP0836866B1 (fr)
DE (1) DE69732553T2 (fr)

Families Citing this family (68)

* Cited by examiner, † Cited by third party
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US5978710A (en) * 1998-01-23 1999-11-02 Sulzer Intermedics Inc. Implantable cardiac stimulator with safe noise mode
EP0985428A1 (fr) 1998-08-12 2000-03-15 Pacesetter, Inc. Stimulateur cardiaque avec système de sécurité de synchronisation des ondes-R pendant la correction par contre-stimulation de fibrillation auriculaire
US6047210A (en) * 1998-09-03 2000-04-04 Cardiac Pacemakers, Inc. Cardioverter and method for cardioverting an atrial tachyarrhythmia while maintaining atrial pacing
US6078837A (en) * 1999-01-27 2000-06-20 Medtronic, Inc. Method and apparatus for treatment of fibrillation
US6871094B1 (en) * 1999-02-08 2005-03-22 Heartsine Technologies Limited Apparatus for determining when a patient is susceptible to defibrillation
US6266561B1 (en) * 1999-04-01 2001-07-24 Agilent Technologies, Inc. Method of adjusting electrotherapy in response to an arrhythmia
US6496731B1 (en) * 2000-04-14 2002-12-17 Cardiac Pacemakers, Inc. Highly specific technique for discriminating atrial fibrillation from atrial flutter
US6748267B2 (en) * 2001-07-25 2004-06-08 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Heart therapy device
US7245967B1 (en) * 2002-06-12 2007-07-17 Pacesetter, Inc. Parasympathetic nerve stimulation for termination of supraventricular arrhythmias
US7403819B1 (en) 2002-06-12 2008-07-22 Pacesetter, Inc. Parasympathetic nerve stimulation for control of AV conduction
SE0202882D0 (sv) * 2002-09-30 2002-09-30 St Jude Medical An Implantable Heart Stimulator
US7536224B2 (en) * 2003-04-30 2009-05-19 Medtronic, Inc. Method for elimination of ventricular pro-arrhythmic effect caused by atrial therapy
US7561913B2 (en) 2003-04-30 2009-07-14 Medtronic, Inc. Automatic adjusting R-wave synchronization algorithm for atrial cardioversion and defibrillation
US20190357827A1 (en) 2003-08-01 2019-11-28 Dexcom, Inc. Analyte sensor
US7062328B1 (en) 2003-08-25 2006-06-13 Pacesetter, Inc. System and method for providing improved specificity for automatic mode switching within an implantable medical device
US7146213B1 (en) * 2003-12-05 2006-12-05 Pacesetter, Inc. Method and apparatus for improving specificity of atrial tachycardia detection techniques in dual-unipolar or dual-bipolar implantable cardiac stimulation systems
US7184834B1 (en) 2003-12-05 2007-02-27 Pacesetter, Inc. Method and apparatus for improving specificity of atrial tachycardia detection techniques in dual-unipolar or dual-bipolar implantable cardiac stimulation systems
US7158829B1 (en) 2003-12-05 2007-01-02 Pacesetter, Inc. Method and apparatus for improving specificity of atrial tachycardia detection techniques in dual-unipolar or dual-bipolar implantable cardiac stimulation systems
US7174210B1 (en) 2003-12-05 2007-02-06 Pacesetter, Inc. Method and apparatus for improving specificity of atrial tachycardia detection techniques in dual-unipolar or dual-bipolar implantable cardiac stimulation systems
US7756572B1 (en) 2005-01-25 2010-07-13 Pacesetter, Inc. System and method for efficiently distinguishing among cardiac ischemia, hypoglycemia and hyperglycemia using an implantable medical device and an external system
US7502644B2 (en) * 2005-01-25 2009-03-10 Pacesetter, Inc. System and method for distinguishing among cardiac ischemia, hypoglycemia and hyperglycemia using an implantable medical device
US7590443B2 (en) * 2005-04-27 2009-09-15 Pacesetter, Inc System and method for detecting hypoglycemia based on a paced depolarization integral using an implantable medical device
EP1921980A4 (fr) 2005-08-31 2010-03-10 Univ Virginia Amelioration de la precision de capteurs de glucose en continu
DE102005047320A1 (de) 2005-09-30 2007-04-05 Biotronik Crm Patent Ag Detektor für atriales Flimmern und Flattern
US7761150B2 (en) * 2006-03-29 2010-07-20 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a medical device
US7630748B2 (en) 2006-10-25 2009-12-08 Abbott Diabetes Care Inc. Method and system for providing analyte monitoring
US8219173B2 (en) 2008-09-30 2012-07-10 Abbott Diabetes Care Inc. Optimizing analyte sensor calibration
US9392969B2 (en) 2008-08-31 2016-07-19 Abbott Diabetes Care Inc. Closed loop control and signal attenuation detection
US9675290B2 (en) 2012-10-30 2017-06-13 Abbott Diabetes Care Inc. Sensitivity calibration of in vivo sensors used to measure analyte concentration
US8583205B2 (en) 2008-03-28 2013-11-12 Abbott Diabetes Care Inc. Analyte sensor calibration management
US8224415B2 (en) 2009-01-29 2012-07-17 Abbott Diabetes Care Inc. Method and device for providing offset model based calibration for analyte sensor
BRPI0718119A2 (pt) 2006-10-26 2014-07-08 Abbott Diabetes Care Inc Métodos, sistemas e programas de computador para a detecção em tempo real do declínio de sensibilidade em sensores de analito
DE102006061988A1 (de) 2006-12-21 2008-07-03 Biotronik Crm Patent Ag Detektor für atriales Flimmern und Flattern
US7627368B2 (en) * 2006-12-28 2009-12-01 Medtronic, Inc. Method and apparatus for atrial arrhythmia detection
US7706865B1 (en) 2007-01-24 2010-04-27 Pacesetter, Inc. Apparatus and method for cardiac rhythm detection
US8019410B1 (en) 2007-08-22 2011-09-13 Pacesetter, Inc. System and method for detecting hypoglycemia using an implantable medical device based on pre-symptomatic physiological responses
US8216138B1 (en) 2007-10-23 2012-07-10 Abbott Diabetes Care Inc. Correlation of alternative site blood and interstitial fluid glucose concentrations to venous glucose concentration
US20090164239A1 (en) 2007-12-19 2009-06-25 Abbott Diabetes Care, Inc. Dynamic Display Of Glucose Information
DE102008018569A1 (de) * 2007-12-20 2009-06-25 Biotronik Crm Patent Ag Biventrikulärer Herzstimulator
US20100057158A1 (en) * 2008-08-26 2010-03-04 Pacesetter, Inc. Neurostimulation Based On Glycemic Condition
US9326707B2 (en) 2008-11-10 2016-05-03 Abbott Diabetes Care Inc. Alarm characterization for analyte monitoring devices and systems
US8185181B2 (en) * 2009-10-30 2012-05-22 Abbott Diabetes Care Inc. Method and apparatus for detecting false hypoglycemic conditions
WO2011112753A1 (fr) * 2010-03-10 2011-09-15 Abbott Diabetes Care Inc. Systèmes, dispositifs et procédés pour le contrôle de niveaux de glucose
US8635046B2 (en) 2010-06-23 2014-01-21 Abbott Diabetes Care Inc. Method and system for evaluating analyte sensor response characteristics
US10092229B2 (en) 2010-06-29 2018-10-09 Abbott Diabetes Care Inc. Calibration of analyte measurement system
JP6141827B2 (ja) 2011-04-15 2017-06-07 デックスコム・インコーポレーテッド 検体を測定するシステムの作動方法及び該方法を実施するべく構成されたセンサシステム
WO2013066849A1 (fr) 2011-10-31 2013-05-10 Abbott Diabetes Care Inc. Mécanisme de prévention de fausse alarme de seuil de glucose à risque variable basé sur un modèle
WO2014052136A1 (fr) 2012-09-26 2014-04-03 Abbott Diabetes Care Inc. Procédé et appareil d'amélioration de correction de retard pendant une mesure in vivo de concentration de substance à analyser avec des données de variabilité et de plage de concentration de substance à analyser
US10433773B1 (en) 2013-03-15 2019-10-08 Abbott Diabetes Care Inc. Noise rejection methods and apparatus for sparsely sampled analyte sensor data
US9474475B1 (en) 2013-03-15 2016-10-25 Abbott Diabetes Care Inc. Multi-rate analyte sensor data collection with sample rate configurable signal processing
WO2014152034A1 (fr) 2013-03-15 2014-09-25 Abbott Diabetes Care Inc. Détection de défaut de capteur utilisant une comparaison de structures de données de capteur d'analyte
US9775559B2 (en) 2013-04-26 2017-10-03 Medtronic, Inc. Staged rhythm detection system and method
EP3865063A1 (fr) 2014-03-30 2021-08-18 Abbott Diabetes Care, Inc. Procédé et appareil permettant de déterminer le début du repas et le pic prandial dans des systèmes de surveillance d'analyte
US10376705B2 (en) 2014-04-01 2019-08-13 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device
US9526908B2 (en) 2014-04-01 2016-12-27 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device
US9808640B2 (en) 2014-04-10 2017-11-07 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device using two sensing vectors
US9352165B2 (en) 2014-04-17 2016-05-31 Medtronic, Inc. Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors
US10278601B2 (en) 2014-04-24 2019-05-07 Medtronic, Inc. Method and apparatus for selecting a sensing vector configuration in a medical device
US9795312B2 (en) 2014-04-24 2017-10-24 Medtronic, Inc. Method and apparatus for adjusting a blanking period for selecting a sensing vector configuration in a medical device
US10252067B2 (en) 2014-04-24 2019-04-09 Medtronic, Inc. Method and apparatus for adjusting a blanking period during transitioning between operating states in a medical device
US10244957B2 (en) 2014-04-24 2019-04-02 Medtronic, Inc. Method and apparatus for selecting a sensing vector configuration in a medical device
US9610025B2 (en) 2014-07-01 2017-04-04 Medtronic, Inc. Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors
US9561005B2 (en) 2015-01-23 2017-02-07 Medtronic, Inc. Method and apparatus for beat acquisition during template generation in a medical device having dual sensing vectors
US10188867B2 (en) 2015-01-23 2019-01-29 Medtronic, Inc. Method and apparatus for beat acquisition during template generation in a medical device having dual sensing vectors
EP3253449B1 (fr) 2015-02-06 2018-12-12 Cardiac Pacemakers, Inc. Systèmes pour l'administration sécurisée d'une thérapie par stimulation électrique
US11235163B2 (en) 2017-09-20 2022-02-01 Cardiac Pacemakers, Inc. Implantable medical device with multiple modes of operation
US20190120785A1 (en) 2017-10-24 2019-04-25 Dexcom, Inc. Pre-connected analyte sensors
US11331022B2 (en) 2017-10-24 2022-05-17 Dexcom, Inc. Pre-connected analyte sensors

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4944298A (en) * 1989-05-23 1990-07-31 Siemens-Pacesetter, Inc. Atrial rate based programmable pacemaker with automatic mode switching means
EP0469817A2 (fr) * 1990-07-30 1992-02-05 Telectronics N.V. Système de commande d'arythmies pour servir de reconnaissance d'algorithme d'arythmies
EP0506230A1 (fr) * 1991-03-25 1992-09-30 Ventritex, Inc. Appareil médical avec discrimination de la morphologie
US5413594A (en) * 1993-12-09 1995-05-09 Ventritex, Inc. Method and apparatus for interrogating an implanted cardiac device
US5441523A (en) * 1994-04-12 1995-08-15 Telectronics Pacing Systems, Inc. Forced atrioventricular synchrony dual chamber pacemaker

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US4702253A (en) * 1985-10-15 1987-10-27 Telectronics N.V. Metabolic-demand pacemaker and method of using the same to determine minute volume
US4766901A (en) * 1985-12-18 1988-08-30 Telectronics N.V. Rate responsive pacing system using the integrated evoked potential
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US5454836A (en) * 1994-01-18 1995-10-03 Vitatron Medical, B.V. VDD (R) pacing system
US5423868A (en) * 1994-04-12 1995-06-13 Telectronics Pacing Systems, Inc. Dual chamber pacemaker which detects, confirms and terminates pacemaker mediated tachycardia

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4944298A (en) * 1989-05-23 1990-07-31 Siemens-Pacesetter, Inc. Atrial rate based programmable pacemaker with automatic mode switching means
EP0469817A2 (fr) * 1990-07-30 1992-02-05 Telectronics N.V. Système de commande d'arythmies pour servir de reconnaissance d'algorithme d'arythmies
EP0506230A1 (fr) * 1991-03-25 1992-09-30 Ventritex, Inc. Appareil médical avec discrimination de la morphologie
US5413594A (en) * 1993-12-09 1995-05-09 Ventritex, Inc. Method and apparatus for interrogating an implanted cardiac device
US5441523A (en) * 1994-04-12 1995-08-15 Telectronics Pacing Systems, Inc. Forced atrioventricular synchrony dual chamber pacemaker

Also Published As

Publication number Publication date
US5720295A (en) 1998-02-24
EP0836866A2 (fr) 1998-04-22
DE69732553T2 (de) 2006-01-12
EP0836866B1 (fr) 2005-02-23
DE69732553D1 (de) 2005-03-31

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